BEVELED END EFFECTOR ASSEMBLY
An end effector assembly for a surgical instrument includes a pair of first and second jaw members movable between a spaced apart configuration and an approximated configuration for grasping tissue therebetween. The first jaw member includes a housing having a substantially flat inwardly facing surface and the second jaw member includes a housing having an electrosurgical cutter disposed along a center thereof and a pair of inwardly facing beveled surfaces extending away from the cutter. An electrically conductive sealing plate is disposed on the housing of the first jaw member. A pair of electrically conductive sealing plates is disposed on the housing of the second jaw member on either side of the electrosurgical cutter, wherein an angle between the substantially flat inwardly facing surface of the first jaw member and the bevel of one of the pair of inwardly facing beveled surfaces of the second jaw member is in the range of about 1 degree to about 20 degrees to encourage tissue sloughing away from the electrosurgical cutter after separation.
The present disclosure relates to surgical instruments and, more particularly, to electrosurgical instruments for sealing and cutting tissue, and methods of manufacturing same.
BACKGROUNDA surgical forceps is a pliers-like instrument that relies on mechanical action between its jaw members to grasp, clamp, and constrict tissue. Electrosurgical forceps utilize both mechanical clamping action and energy to heat tissue to treat, e.g., coagulate, cauterize, or seal, tissue. Typically, once tissue is treated, the surgeon has to accurately sever the treated tissue. Accordingly, many electrosurgical forceps are designed to incorporate a knife that is advanced between the jaw members to cut the treated tissue. As an alternative to a mechanical knife, an energy-based tissue cutting element may be provided to cut the treated tissue using energy, e.g., thermal, electrosurgical, ultrasonic, light, or other suitable energy.
SUMMARYAs used herein, the term “distal” refers to the portion that is being described which is further from a user, while the term “proximal” refers to the portion that is being described which is closer to a user. Further, to the extent consistent, any or all of the aspects detailed herein may be used in conjunction with any or all of the other aspects detailed herein.
Provided in accordance with aspects of the present disclosure is a an end effector assembly for a surgical instrument which includes a pair of first and second jaw members. Once or both of the first and second jaw members are movable between a spaced apart configuration and an approximated configuration for grasping tissue between the first and second jaw members. The first jaw member includes a housing having a substantially flat inwardly facing surface and the second jaw member includes a housing having an electrosurgical cutter disposed along a center thereof and a pair of inwardly facing beveled surfaces extending away from the cutter. An electrically conductive sealing plate is disposed on the housing of the first jaw member and a pair of electrically conductive sealing plates is disposed on the housing of the second jaw member on either side of the electrosurgical cutter. An angle between the substantially flat inwardly facing surface of the first jaw member and the bevel of one or both of the pair of inwardly facing beveled surfaces of the second jaw member is in the range of about 1 degree to about 20 degrees.
In aspects according to the present disclosure, the electrosurgical cutter is raised relative to the electrically conductive sealing plates of the second jaw member. In other aspects according to the present disclosure, the electrosurgical cutter protrudes relative to the electrically conductive sealing plates of the second jaw member in the range of about 0.002 inches to about 0.030 inches. In yet other aspects according to the present disclosure, the electrosurgical cutter maintains a gap proximate the electrosurgical cutter between electrically conductive tissue sealing plates in the range of about 0.001 inches to about 0.006 inches. In aspects according other present disclosure, the electrosurgical cutter may be recessed or flush relative to the electrically conductive sealing plates.
In aspects according to the present disclosure, the outer peripheral surfaces of each of the pair of inwardly facing beveled surfaces of the electrically conductive sealing plates of the second jaw member includes a radius in the range of about 0.007 inches to about 0.020 inches to both facilitate mechanical engagement with the housing of the second jaw member and reduce current concentrations along an edge of the electrically conductive sealing plates of the second jaw member. In other aspects according to the present disclosure, the outer peripheral surfaces of the inwardly facing surface of the electrically conductive sealing plate of the first jaw member includes a radius in the range of about 0.007 inches to about 0.020 inches to both facilitate mechanical engagement with the housing of the first jaw member and reduce current concentrations along an edge of the electrically conductive sealing plate of the first jaw member. In aspects according to the present disclosure, the radius may be non-conductive to reduce current concentrations therealong.
In aspects according to the present disclosure, a gap between opposing electrically conductive sealing plates of the first and second jaw members proximate the electrosurgical cutter is in the range of about 0.001 inches to about 0.006 inches and a gap between the opposing electrically conductive sealing plates proximate opposing edges of the electrically conductive sealing plates of the first and second jaw member is in the range of about 0.003 inches to about 0.020 inches.
In aspects according to the present disclosure, the electrosurgical cutter extends around a distal-most end of the second jaw member to facilitate electrosurgical dissection of tissue. In other aspects according to the present disclosure, the first and second jaw members are configured to close in a tip-biased fashion.
Provided in accordance with aspects of the present disclosure is a an end effector assembly for a surgical instrument which includes a pair of first and second jaw members. One or both of the first and second jaw members is movable between a spaced apart configuration and an approximated configuration for grasping tissue between the first and second jaw members. The first jaw member includes a housing having a substantially flat inwardly facing surface and the second jaw member includes a housing having an electrosurgical cutter disposed along a center thereof and a pair of inwardly facing beveled surfaces extending away from the cutter. The cutter extends around a distal-most portion of the second jaw member and is adapted to connect to an electrosurgical energy source. An electrically conductive sealing plate is disposed on the housing of the first jaw member. A pair of electrically conductive sealing plates is disposed on the housing of the second jaw member on either side of the electrosurgical cutter. An angle between the electrically conductive sealing plate of the first jaw member and one or both of the pair of electrically conductive sealing plates of the second jaw member is in the range of about 1 degree to about 20 degrees.
In aspects according to the present disclosure, the first jaw member may include beveled surfaces while the second jaw member includes flat surfaces with an electrosurgical cutter disposed along a center thereof. In yet other aspects according to the present disclosure, both jaw members include beveled surfaces. In still other embodiments, the first jaw member includes a slot defined therein configured to receive an electrosurgical cutter extending from the second jaw, the cutter being configured to define the gap between jaw members. In yet other embodiments, the cutter may be flush or recessed within one or both jaw members.
In aspects according to the present disclosure, the electrosurgical cutter is raised relative to the electrically conductive sealing plates of the second jaw member. In other aspects according to the present disclosure, the electrosurgical cutter protrudes relative to the electrically conductive sealing plates of the second jaw member in the range of about 0.002 inches to about 0.010 inches. In yet other aspects according to the present disclosure, the electrosurgical cutter maintains a gap proximate the electrosurgical cutter between electrically conductive tissue sealing plates in the range of about 0.001 inches to about 0.006 inches.
In aspects according to the present disclosure, the outer peripheral surfaces of each of the pair of inwardly facing beveled surfaces of the electrically conductive sealing plates of the second jaw member includes a radius in the range of about 0.007 inches to about 0.020 inches to both facilitate mechanical engagement with the housing of the second jaw member and reduce current concentrations along an edge of the electrically conductive sealing plates of the second jaw member. In other aspects according to the present disclosure, the outer peripheral surfaces of the inwardly facing surface of the electrically conductive sealing plate of the first jaw member includes a radius in the range of about 0.007 inches to about 0.020 inches to both facilitate mechanical engagement with the housing of the first jaw member and reduce current concentrations along an edge of the electrically conductive sealing plate of the first jaw member.
In aspects according to the present disclosure, a gap between opposing electrically conductive sealing plates of the first and second jaw members proximate the electrosurgical cutter is in the range of about 0.001 inches to about 0.006 inches and a gap between the opposing electrically conductive sealing plates proximate opposing edges of the electrically conductive sealing plates of the first and second jaw member is in the range of about 0.003 inched to about 0.020 inches.
In aspects according to the present disclosure, the first and second jaw members are configured to close in a tip-biased fashion.
The above and other aspects and features of the present disclosure will become more apparent in view of the following detailed description when taken in conjunction with the accompanying drawings wherein like reference numerals identify similar or identical elements.
Referring to
Forceps 10 includes a housing 20, a handle assembly 30, a trigger assembly 60, a rotating assembly 70, a first activation switch 80, a second activation switch 90, and an end effector assembly 100. Forceps 10 further includes a shaft 12 having a distal end portion 14 configured to (directly or indirectly) engage end effector assembly 100 and a proximal end portion 16 that (directly or indirectly) engages housing 20. Forceps 10 also includes cable “C” that connects forceps 10 to an energy source, e.g., an electrosurgical generator “G.” Cable “C” includes a wire (or wires) (not shown) extending therethrough that has sufficient length to extend through shaft 12 in order to connect to one or both tissue-treating surfaces 114, 124 of jaw members 110, 120, respectively, of end effector assembly 100 to provide energy thereto. First activation switch 80 is coupled to tissue-treating surfaces 114, 124 and the electrosurgical generator “G” for enabling the selective activation of the supply of energy to jaw members 110, 120 for treating, e.g., cauterizing, coagulating/desiccating, and/or sealing, tissue. Second activation switch 90 is coupled to thermal cutting element 130 of jaw member 120 and the electrosurgical generator “G” for enabling the selective activation of the supply of energy to thermal cutting element 550 for thermally cutting tissue (
Handle assembly 30 of forceps 10 includes a fixed handle 50 and a movable handle 40. Fixed handle 50 is integrally associated with housing 20 and handle 40 is movable relative to fixed handle 50. Movable handle 40 of handle assembly 30 is operably coupled to a drive assembly (not shown) that, together, mechanically cooperate to impart movement of one or both of jaw members 110, 120 of end effector assembly 100 about a pivot 103 between a spaced-apart position and an approximated position to grasp tissue between tissue-treating surfaces 114, 124 of jaw members 110, 120. As shown in
Referring to
Forceps 210 includes two elongated shaft members 212a, 212b, each having a proximal end portion 216a, 216b, and a distal end portion 214a, 214b, respectively. Forceps 210 is configured for use with an end effector assembly 100′ similar to end effector assembly 100. More specifically, end effector assembly 100′ includes first and second jaw members 110′, 120′ attached to respective distal end portions 214a, 214b of shaft members 212a, 212b. Jaw members 110′, 120′ are pivotably connected about a pivot 103′. Each shaft member 212a, 212b includes a handle 217a, 217b disposed at the proximal end portion 216a, 216b thereof. Each handle 217a, 217b defines a finger hole 218a, 218b therethrough for receiving a finger of the user. As can be appreciated, finger holes 218a, 218b facilitate movement of the shaft members 212a, 212b relative to one another to, in turn, pivot jaw members 110′, 120′ from the spaced-apart position, wherein jaw members 110′, 120′ are disposed in spaced relation relative to one another, to the approximated position, wherein jaw members 110′, 120′ cooperate to grasp tissue therebetween.
One of the shaft members 212a, 212b of forceps 210, e.g., shaft member 212b, includes a proximal shaft connector 219 configured to connect forceps 210 to a source of energy, e.g., electrosurgical generator “G” (
Jaw members 110′, 120′ define a curved configuration wherein each jaw member is similarly curved laterally relative to a longitudinal axis of end effector assembly 100′. However, other suitable curved configurations including curvature towards one of the jaw members 110, 120′ (and thus away from the other), multiple curves with the same plane, and/or multiple curves within different planes are also contemplated. Jaw members 110, 120 of end effector assembly 100 (
Referring to
Robotic surgical instrument 1000 includes a plurality of robot arms 1002, 1003; a control device 1004; and an operating console 1005 coupled with control device 1004. Operating console 1005 may include a display device 1006, which may be set up in particular to display three-dimensional images; and manual input devices 1007, 1008, by means of which a surgeon may be able to telemanipulate robot arms 1002, 1003 in a first operating mode. Robotic surgical instrument 1000 may be configured for use on a patient 1013 lying on a patient table 1012 to be treated in a minimally invasive manner. Robotic surgical instrument 1000 may further include a database 1014, in particular coupled to control device 1004, in which are stored, for example, pre-operative data from patient 1013 and/or anatomical atlases.
Each of the robot arms 1002, 1003 may include a plurality of members, which are connected through joints, and an attaching device 1009, 1011, to which may be attached, for example, an end effector assembly 1100, 1200, respectively. End effector assembly 1100 is similar to end effector assembly 100 (
Turning to
Referring in particular to
The first jaw member 510 may include beveled surfaces while the second jaw member 520 may include flat surfaces with an electrosurgical cutter 550 disposed along a center thereof. Alternatively, both jaw members 510, 520 include beveled surfaces. The first jaw member 510 may include a slot (not shown) defined therein configured to receive an electrosurgical cutter 550 extending from the second jaw 520, the cutter 550 being configured to define the gap between jaw members 510, 520. The cutter 550 may be flush or recessed within one or both jaw members 510, 520.
Jaw housing 525 is disposed opposite jaw housing 515 along at least partially the length thereof and is configured to house cutter 550 therein. Cutting 550 extends at least partially along the length of jaw housing 525 and includes a tip 551 that extends passed jaw housing tip 520a of jaw housing 520 such that cutter tip 551 is exposed at the distal end of the housing 520 (
Jaw housing 525 includes beveled or tapered surfaces 526a, 526b that each extend away from cutter 550 towards the outer peripheral edges of jaw housing 525. Beveled surfaces 526a, 526b are configure to facilitate cutting and subsequent separation of tissue. More particularly, each beveled surface 526a, 526b includes an angle “d” that facilitates tissue slipping away from or sloughing off of respective tissue sealing plates 524a, 524b on either side of the cutter 550.
The tissue sealing plates 524a, 524b are mechanically engaged to the jaw housing 525 on either side of the cutter 550. More particularly, seal plates 524a, 524b of jaw member 520 are mechanically engaged to jaw housing 525 to at least partially match the angle of the beveled surfaces 526a, 526b. Various angles are envisioned for the beveled surfaces 526a, 526b (and/or seal plates 524a, 524b) and may range from about 1 degree to about 20 degrees depending upon a particular purpose. When the jaw members 510, 520 are approximated, the gap “a” proximate the cutter 550 is in the range of about 0.001 inches to about 0.006 inches and operates as a conventional stop member for vessel sealing purposes.
The outer peripheral edges 527a, 527b of respective tissue sealing plates 524a, 524b may be shaped to fit the corresponding outer peripheral edge 525a, 525b of the jaw housing 525 to facilitate or enhance mechanical engagement or to direct or reduce current concentrations along the surface thereof. The edge 525a, 525b radii “e” may be in the range of about 0.007 inches to about 0.020 inches. The gap “b” proximate the outer peripheral edges, e.g., edge 515a of seal plate 512 and edge 527b of seal plate 524 ranges between about 0.003 inches to about 0.020 inches. The radius may also be made from or coated with a non-conductive material to reduce current concentrations.
Once tissue is sealed by the sealing plates 512, 524 of respective jaw members 510, 520 via actuation of switch 80, the operator may activate switch 90 to energize the cutter 550 (
Referring now to
One or both of the jaw members 110, 120 may be configured to include a pinch trim (not shown) between the tissue sealing surfaces and the jaw housing. It is contemplated that designing the pinch trim with certain geometrical configurations may provide additional benefits to facilitate the sealing and/or cutting processes. For example, configuring the pinch trim with certain geometrical features may contain, limit or re-direct smoke during activation of either sealing or cutting. Moreover, certain configurations of the pinch trim may limit the thermal spread or dissipate heat from the cutting element during the cutting process. Still further, certain configurations of the pinch trim may aid in the ejection of tissue once cut.
While several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Claims
1. An end effector assembly for a surgical instrument, comprising:
- a pair of first and second jaw members, at least one of the first and second jaw members movable between a spaced apart configuration and an approximated configuration for grasping tissue between the first and second jaw members, the first jaw member including a housing having a substantially flat inwardly facing surface, the second jaw member including a housing having an electrosurgical cutter disposed along a center thereof and a pair of inwardly facing beveled surfaces extending away from the cutter;
- an electrically conductive sealing plate disposed on the housing of the first jaw member; and
- a pair of electrically conductive sealing plates disposed on the housing of the second jaw member on either side of the electrosurgical cutter, wherein an angle between the substantially flat inwardly facing surface of the first jaw member and the bevel of at least one of the pair of inwardly facing beveled surfaces of the second jaw member is in the range of about 1 degree to about 20 degrees.
2. The end effector assembly according to claim 1, wherein the electrosurgical cutter is raised relative to the electrically conductive sealing plates of the second jaw member.
3. The end effector assembly according to claim 2, wherein the electrosurgical cutter protrudes relative to the electrically conductive sealing plates of the second jaw member in the range of about 0.002 inches to about 0.010 inches.
4. The end effector assembly according to claim 2, wherein the electrosurgical cutter maintains a gap proximate the electrosurgical cutter between electrically conductive tissue sealing plates in the range of about 0.001 inches to about 0.006 inches.
5. The end effector assembly according to claim 1, wherein the outer peripheral surfaces of each of the pair of inwardly facing beveled surfaces of the electrically conductive sealing plates of the second jaw member includes a radius in the range of about 0.007 inches to about 0.020 inches to both facilitate mechanical engagement with the housing of the second jaw member and reduce current concentrations along an edge of the electrically conductive sealing plates of the second jaw member.
6. The end effector assembly according to claim 5, wherein the outer peripheral surfaces of the inwardly facing surface of the electrically conductive sealing plate of the first jaw member includes a radius in the range of about 0.007 inches to about 0.020 inches to both facilitate mechanical engagement with the housing of the first jaw member and reduce current concentrations along an edge of the electrically conductive sealing plate of the first jaw member.
7. The end effector assembly according to claim 1, wherein a gap between opposing electrically conductive sealing plates of the first and second jaw members proximate the electrosurgical cutter is in the range of about 0.001 inches to about 0.006 inches and a gap between the opposing electrically conductive sealing plates proximate opposing edges of the electrically conductive sealing plates of the first and second jaw member is in the range of about 0.003 inched to about 0.020 inches.
8. The end effector assembly according to claim 1, wherein the electrosurgical cutter extends around a distal-most end of the second jaw member to facilitate electrosurgical dissection of tissue.
9. The end effector assembly according to claim 1, wherein the first and second jaw members are configured to close in a tip-biased fashion.
10. An end effector assembly for a surgical instrument, comprising:
- a pair of first and second jaw members, at least one of the first and second jaw members movable between a spaced apart configuration and an approximated configuration for grasping tissue between the first and second jaw members, the first jaw member including a housing having a substantially flat inwardly facing surface, the second jaw member including a housing having an electrosurgical cutter disposed along a center thereof and a pair of inwardly facing beveled surfaces extending away from the cutter, the cutter extending around a distal-most portion of the second jaw member and adapted to connect to an electrosurgical energy source;
- an electrically conductive sealing plate disposed on the housing of the first jaw member; and
- a pair of electrically conductive sealing plates disposed on the housing of the second jaw member on either side of the electrosurgical cutter, wherein an angle between the electrically conductive sealing plate of the first jaw member and at least one of the pair of electrically conductive sealing plates of the second jaw member is in the range of about 1 degree to about 20 degrees.
11. The end effector assembly according to claim 10, wherein the electrosurgical cutter is raised relative to the electrically conductive sealing plates of the second jaw member.
12. The end effector assembly according to claim 11, wherein the electrosurgical cutter protrudes relative to the electrically conductive sealing plates of the second jaw member in the range of about 0.002 inches to about 0.010 inches.
13. The end effector assembly according to claim 11, wherein the electrosurgical cutter maintains a gap proximate the electrosurgical cutter between electrically conductive tissue sealing plates in the range of about 0.001 inches to about 0.006 inches.
14. The end effector assembly according to claim 10, wherein the outer peripheral surfaces of each of the pair of inwardly facing beveled surfaces of the electrically conductive sealing plates of the second jaw member includes a radius in the range of about 0.007 inches to about 0.020 inches to both facilitate mechanical engagement with the housing of the second jaw member and reduce current concentrations along an edge of the electrically conductive sealing plates of the second jaw member.
15. The end effector assembly according to claim 14, wherein the outer peripheral surfaces of the inwardly facing surface of the electrically conductive sealing plate of the first jaw member includes a radius in the range of about 0.007 inches to about 0.020 inches to both facilitate mechanical engagement with the housing of the first jaw member and reduce current concentrations along an edge of the electrically conductive sealing plate of the first jaw member.
16. The end effector assembly according to claim 10, wherein a gap between opposing electrically conductive sealing plates of the first and second jaw members proximate the electrosurgical cutter is in the range of about 0.001 inches to about 0.006 inches and a gap between the opposing electrically conductive sealing plates proximate opposing edges of the electrically conductive sealing plates of the first and second jaw member is in the range of about 0.003 inched to about 0.020 inches.
17. The end effector assembly according to claim 10, wherein the first and second jaw members are configured to close in a tip-biased fashion.
Type: Application
Filed: Sep 14, 2020
Publication Date: Mar 17, 2022
Inventor: James D. Allen, IV (Broomfield, CO)
Application Number: 17/019,984